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1407357510
LARISSA DENISE WILSON
BEAUMONT, TX
NPI
1407357510
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: TX 339866)
Enumeration Date
2018-02-23
Last Update Date
2018-02-23
Business Address
LARISSA DENISE WILSON LVN
3330 FANNIN ST
BEAUMONT, TX 77701-3801
Phone number: 409-832-3304
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Mailing Address
LARISSA DENISE WILSON LVN
3330 FANNIN ST
BEAUMONT, TX 77701-3801
Phone number:
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